Roswell Clinic Corp
Organization Active NPI Durable Medical Equipment & Medical Supplies · Roswell, NM
NPI 1396958633 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1396958633
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ROSWELL CLINIC CORP
- Practice address
- 350 W Country Club Rd
Suite 205
Roswell, NM 88201-5205 - Phone
- (505) 622-7593
- Fax
- (505) 622-5538
- NPI assigned
- May 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ROSWELL CLINIC CORP
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (877) 892-9813
Other NPIs on the same Medicare enrollment 4
Practitioners 70
-
Akbar Ali, MD
-
Basil A Anaele, MD
-
Jeffrey Ash, D.P.M.
-
Megan Leigh Brandt, FNP-C
-
Eric David Cohen, MD
-
Megan Nikole Colby, APRN, MSN, FNP-C
-
Barry L Cromer, MD
-
Katrina Dowdy, CNM
-
Hamid Feroze, MD
-
Alyssa L. Gallegos, CNM
-
Janet Greenholz, MD
-
Erica Elizabeth Guerrero, MSN, RN, APRN, FNP-C
-
Omar Hashmi, MD
-
Virgle O. Herrin Jr., M.D.
-
Kim Hestand, CNP
-
Lisa Hobbs, CNM
-
Samuel Basiaka Itie, FNP-C
-
Derek B Johnson, M.D.
-
Cindy Diane Jones, CFNP
-
Ajoy Kumar, MD
-
Christopher Mathew Lynn, CRNA
-
Ann M Matakas, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000799 | NM | Part B Supplier - Clinic/Group Practice | 9436062759 |
Receives reassigned benefits from 69 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Roswell, NM; Hobbs, NM; Carlsbad, NM; Artesia, NM |
National Provider Directory
- Part of
- Roswell Clinic Corp
Locations
5419 N Lovington Hwy
Ste 4
Hobbs, NM 88240
Phone (505) 392-7537
607 W Country Club Rd
Ste 202
Roswell, NM 88201
Phone (575) 624-0400
808 N Union Ave
Roswell, NM 88201
Phone (505) 622-1411
601 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (505) 627-0535
300 W Country Club Rd
Ste 130
Roswell, NM 88201
Phone (575) 625-2669
300 W Country Club Rd
Ste 220
Roswell, NM 88201
Phone (505) 625-1292
808 N Union Ave
Ste B
Roswell, NM 88201
Phone (505) 622-1411
808 N Union Ave
Ste A
Roswell, NM 88201
Phone (575) 622-1411
350 W Country Club Rd
Ste 103
Roswell, NM 88201
Phone (505) 622-7593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
350 W Country Club Rd
Suite 205
Roswell, NM 88201-5205
Mailing address
330 Franklin Rd
135A-599
Brentwood, TN 37027-3280
Other names
- Eastern Plains Urology
Other providers in Roswell, NM
- Phalla Ross
- Stasha Ross
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
- Roswell Clinic Corp
All providers in Roswell, NM · Durable Medical Equipment & Medical Supplies in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.